| Coothbrush Inc | |
|
545 Country Club Rd Se Corydon IN 47112 | |
| (812) 738-2257 | |
| (812) 738-1778 |
| Full Name | Coothbrush Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 Country Club Rd Se, Corydon, Indiana |
| Authorized Official Name and Position | Terry Alan Mccooe (CEO COOTHBRUSH INC) |
| Authorized Official Contact | 8127382257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coothbrush Inc 545 Country Club Rd Se Corydon IN 47112 Ph: (812) 738-2257 | Coothbrush Inc 545 Country Club Rd Se Corydon IN 47112 Ph: (812) 738-2257 |
| NPI Number | 1386710275 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386710275 | NPI | - | NPPES |
| 10007512A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007362 (Indiana) | Primary |
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